Abstract
The practice of selling single cigarettes (loosies) through an informal economy is prevalent in urban, low socioeconomic (low SES) communities. Although US state and federal laws make this practice illegal, it may be occurring more frequently with the recent increase in taxes on cigarettes. This investigation provides information concerning the illegal practice of selling single cigarettes to better understand this behavior and to inform intervention programs and policymakers. A total of 488 African American young adults were recruited and surveyed at two education and employment training programs in Baltimore City from 2005 to 2008. Fifty-one percent of the sample reported smoking cigarettes in the past month; only 3.7 % of the sample were former smokers. Approximately 65 % of respondents reported seeing single cigarettes sold daily on the street. Multivariate logistic regression modeling found that respondents who reported seeing single cigarettes sold on the street several times a week were more than two times as likely to be current smokers compared to participants who reported that they never or infrequently saw single cigarettes being sold, after controlling for demographics (OR = 2.16; p = 0.034). Tax increases have led to an overall reduction in cigarette smoking. However, smoking rates in urban, low SES communities and among young adults remain high. Attention and resources are needed to address the environmental, normative, and behavioral conditions influencing tobacco use and the disparities it causes. Addressing these factors would help reduce future health care costs and save lives.
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Dube SR, Asman K, Malarcher A, Carabollo R. Cigarette smoking among adults and trends in smoking cessation—United States, 2008. MMWR Morb Mortal Wkly Rep. 2009; 58(44): 1227–1232.
Tynan MA, McAfee T, Promoff G, Pechacek T. Consumption of cigarettes and combustible tobacco—United States, 2000–2011. MMWR Morb Mortal Wkly Rep. 2012; 61(30): 565–569.
Reid JL, Hammond D, Boudreau C, Fong GT, Siahpush M. Socioeconomic disparities in quit intentions, quit attempts, and smoking abstinence among smokers in four western countries: findings from the International Tobacco Control Four Country Survey. Nicotine Tob Res. 2012; 12(suppl 1): S20–S33.
Siahpush M, Singh GK, Jones PR, Timsina LR. Racial/ethnic and socioeconomic variations in duration of smoking: results from 2003, 2006 and 2007 tobacco use supplement of the current population survey. J Public Health. 2012; 32(2): 210–218.
Jolly DH. Exploring the use of little cigars by students at a historically Black University. Prev Chronic Dis. 2008; 5(3): A82.
Malone RE, Yerger V, Pearson C. Cigar risk perceptions in focus groups of urban African American youth. J Subst Abuse. 2001; 13(4): 549–561.
Page JB, Evans S. Cigars, cigarillos, and youth: emergent patterns in subcultural complexes. J Ethn Subst Abuse. 2004; 2(4): 63–76.
Stillman FA, Bone L, Avila-Tang E, Smith K, Yancey N, Street C & Owings K. Barriers to cessation in 18–24 year old inner city African Americans. Am J Public Health. 2007; 97(8): 1405–1408.
Milam AJ, Bone L, Furr-Holden D, Coylewright M, Dachille K, Owings K, et al. Mobilizing for policy: using community-based participatory research to impose minimum packaging requirements on small cigars. Prog Community Health Partnersh. 2012; 6(2): 205–212.
Laws MB, Whitman J, Bowser DM, Krech L. Tobacco availability and point of sale marketing in demographically contrasting districts of Massachusetts. Tob Control. 2002; 11(suppl 2): ii71–ii73.
Okuyemi KS, Ahluwalia JS, Richter KP, Mayo MS, Resnicow K. Differences among African American light, moderate, and heavy smokers. Nicotine Tob Res. 2001; 3(1): 45–50.
Delva J, Tellez M, Finlayson TL, Gretebeck KA, Siefert K, Williams DR, et al. Cigarette smoking among low-income African Americans: a serious public health problem. Am J Prev Med. 2001; 29(3): 218–220.
Reid RJ, Peterson NA, Lowe JB, Hughey J. Tobacco outlet density and smoking prevalence: does racial concentration matter? Drugs (Abingdon Engl). 2005; 12(3): 233–238.
Siahpush M, Jones PR, Singh GK, Timsina LR, Martin J. Association of availability of tobacco products with socio-economic and racial/ethnic characteristics of neighborhoods. Public Health. 2010; 124(9): 525–529.
Henriksen L, Feighery EC, Schleicher NC, Cowling DW, Kline RS, Fortmann SP. Is adolescent smoking related to the density and proximity of tobacco outlets and retail cigarette advertising near schools? Prev Med. 2008; 47(2): 210–214.
Peterson NA, Lowe JB, Reid RJ. Tobacco outlet density, cigarette smoking prevalence, and demographics at the county level of analysis. Subst Use Misuse. 2005; 40(11): 1627–1635.
Smith KC, Stillman F, Bone L, Yancey N, Price E, Belin P, et al. Buying and selling “loosies” in Baltimore: the informal exchange of cigarettes in the community context. J Urban Health. 2007; 84(4): 494–507.
Goldstein JA. Cigarette for 75 Cents, 2 for $1: The Brisk, Shady Sale of “Loosies”. The New York Times. NY/Region; 2011.
Baltimore City Health Department. Health Code of Baltimore City 2008. http://baltimorehealth.org/info/HealthCode.pdf. Accessed July 1, 2013.
United States. The Family Smoking Prevention and Tobacco Control Act: H.R. 1256. Washington DC 2009. http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h1256enr.txt.pdf. Accessed July 1, 2013.
Alcohol and Tobacco Tax and Trade Bureau. Tobacco statistics. Washington, DC: US Department of Treasury, Alcohol and Tobacco Tax and Trade Bureau 2012. http://www.ttb.gov/tobacco/tobacco-stats.shtml. Accessed July 1, 2013.
Chaloupka FJ, Yurekli A, Fong GT. Tobacco taxes as a tobacco control strategy. Tob Control. 2012; 21(2): 172–180.
Ranson MK, Jha P, Chaloupka FJ, Nguyen SN. Global and regional estimates of the effectiveness and cost-effectiveness of price increases and other tobacco control policies. Nicotine Tob Res. 2002; 4(3): 311–319.
Thomson CC, Fisher LB, Winickoff JP, Colditz GA, Camargo CA Jr, King C III, et al. State tobacco excise taxes and adolescent smoking behaviors in the United States. J Public Health Manag Pract. 2004; 10(6): 490–496.
Levy DT, Romano E, Mumford E. The relationship of smoking cessation to sociodemographic characteristics, smoking intensity, and tobacco control policies. Nicotine Tob Res. 2005; 7(3): 387–396.
Tauras JA. Public policy and smoking cessation among young adults in the United States. Health Policy. 2004; 68(3): 321–332.
Stillman FA, Hartman AM, Graubard BI, Gilpin EA, Murray DM, Gibson JT. Evaluation of the American Stop Smoking Intervention Study (ASSIST): a report of outcomes. J Natl Cancer Inst. 2003; 95(22): 1681–1691.
Chaloupka FJ, Wechsler HP. Tobacco control policies and smoking among young adults. J Health Econ. 1997; 16(3): 359–373.
Cantrell J, Hung D, Fahs MC, Shelley D. Purchasing patterns and smoking behaviors after a large tobacco tax increase: a study of Chinese Americans living in New York City. Public Health Rep. 2008; 123(2): 135.
Connolly GN, Alpert HR. Trends in the use of cigarettes and other tobacco products, 2000–2007. JAMA. 2008; 299(22): 2629–2630.
Shelley D, Cantrell MJ, Moon-Howard J, Ramjohn DQ, VanDevanter N. The $5 man: the underground economic response to a large cigarette tax increase in New York City. Am J Public Health. 2007; 97(8): 1483–1488.
Farrelly MC, Nonnemaker JM, Watson KA. The consequences of high cigarette excise taxes for low-income smokers. PLoS One. 2012; 7(9): e43838.
Thrasher JF, Villalobos V, Dorantes-Alonso A, Arillo-Santillán E, Cummings KM, O’Connor R, et al. Does the availability of single cigarettes promote or inhibit cigarette consumption? Perceptions, prevalence and correlates of single cigarette use among adult Mexican smokers. Tob Control. 2009; 18(6): 431–437.
Thrasher JF, Villalobos V, Barnoya J, Sansores R, O’Connor R. Consumption of single cigarettes and quitting behavior: a longitudinal analysis of Mexican smokers. BMC Public Health. 2011; 11(1): 134.
de Ojeda A, Barnoya J, Thrasher JF. Availability and costs of single cigarettes in Guatemala. Nicotine Tob Res. 2013; 15(1): 83–87.
Connolly GN, Alpert HR. Trends in the use of cigarettes and other tobacco products, 2000–2007. JAMA. 2008; 299(22): 2629–2630.
Acknowledgments
Grant Support: We appreciate the contributions of our partners, including Civic Works’ and the Youth Opportunities Centers’ directors, staff, and members. This work was supported by the Maryland Cigarette Restitution Fund, the American Legacy Foundation (grant 5092), the National Cancer Institute (Grant Number: 2U54 CA091431-10), and the Johns Hopkins Sidney Kimmel Center.
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Stillman, F.A., Bone, L.R., Milam, A.J. et al. Out of View but in Plain Sight: The Illegal Sale of Single Cigarettes. J Urban Health 91, 355–365 (2014). https://doi.org/10.1007/s11524-013-9854-3
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DOI: https://doi.org/10.1007/s11524-013-9854-3